Office of Graduate Studies

P.O. Box 297023

Fort Worth, TX 76129

Application for Non-Degree Admission

For Graduate Studies

Date of Planned Enrollment Fall_____ Spring_____ Summer_____ Year_______

Academic Department will you be taking courses from at TCU? ___________________

Courses will be taken for Credit ____ Audit ____

Personal Information for non-degree admission

Mr./Ms. ________________________________________________________________

(Last) (first) (middle) (Maiden)

_______________________________________________________________________

Present Home Address (Street & Number)

_________________________________________ ___________________________

City, State, Zip E-Mail Address

________________ ________________ ________________ ________________

Daytime Phone Evening Phone Social Security No. Date of Birth

Are you a U.S. Citizen? Yes___ No___ Permanent resident___ Student Visa___

Educational Background

________________________________________________________________________

Name of Undergraduate College/University Major Degree Date Conferred

If currently enrolled in a Graduate Program, please list name of the institution and degree you are pursuing: ________________________________________________________

_____________________________ Are you in Good Standing? Yes___ No___

Have you ever attended TCU? Yes___ No___ If yes, last year attended __________

Have you even been convicted of a felony? Yes___ No___ If yes, attach an explanation.

Disclosure in the affirmative does not automatically disqualify you for admission, but will prompt a review by appropriate University officials.

I certify that the information on this application is accurate and complete, and I acknowledge that any omission or inaccurate information could jeopardize my standing with TCU.

Signature of applicant___________________________________ Date______________